Active NPI
Melissa Jo Twigg
- Physical Therapy Assistant
- Plymouth, MN
National Provider Identifier
1801494703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A2437
- Practice address
- 3401 E Medicine Lake Blvd
Plymouth, MN 55441-2307 - Phone
- (763) 559-3123
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A2437 | MN | Primary |
Addresses
Primary practice location
3401 E Medicine Lake Blvd
Plymouth, MN 55441-2307
Mailing address
4209 Portland Ave
Minneapolis, MN 55407-3136
Phone (443) 570-4124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2437 | MN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1801494703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 PORTLAND AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073136",
"telephone_number": "443-570-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 E MEDICINE LAKE BLVD",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554412307",
"telephone_number": "763-559-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWIGG",
"first_name": "MELISSA",
"middle_name": "JO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MN",
"license": "A2437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.